• 척추신경추나의학회지
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• 제13권2호
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• pp.23-34
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• 2018

Objectives : This review aims to evaluate the effects and the safety of Chuna manual therapy(CMT) for pediatric functional constipation. Methods : We searched 10 electronic databases(Pubmed, EMBASE, Cochrane Library, CAJ, Oasis, RISS, KISS, NDSL, KMBASE, KISTI) and related 2 journals until October 2018. We included randomized controlled trials(RCTs) of testing CMT for pediatric functional constipation. The methodological quality of RCTs related assessed by the Cochrane risk of bias tool. Results : 16 RCTs were eligible in our inclusion criteria. The meta-analysis of 11 studies showed positive for use CMT for pediatric functional constipation. CMT significantly improved total efficancy rate compared with medications (P < 0.00001). Conclusions : There is evidence of CMT for pediatric functional constipation with meta-analysis. However, our systematic review has limited evidence to support CMT for pediatric functional constipation. because the quality of relevant trials is relatively poor. Further well-designed RCTs should be encouraged. the quality of relevant trials is relatively poor.

• 한국건강관리협회지
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• 제3권1호
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• pp.55-61
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• 2005

Functional constipation is regarded as a long-standing symptomatic manifestation of abnormal defecation expressed by either a reduced frequency of bowel movements and /or an altered act of evacuation. Patients with constipation can be treated with laxatives, diets and regular habits. Thorough evaluation of functional constipation is considered in those in whom conservative treatment with dietary advice and use of laxatives fails. Patients with normal colonic transit and normal anorectal function may only need reassurance, education and dietary advice with fiber supplementation. For constipated patients in whom such treatment modalities fail, laxatives including bulk-forming and osmotic agents may be used Although most laxatives, if used intermittently, are relatively safe, they must be chosen bearing in mind possible side effects, patient compliance and their action mechanisms. A subgroup of patients with slow transit through the colon ay be unresponsive to conventional laxatives, and, in these subjects, a trial with enteroprokinetics and sometimes stimulant laxatives should be attempted. This article presents our view of the assessment and pharmacologic treatment of functional constipation.

• Asian Pacific Journal of Cancer Prevention
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• 제15권23호
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• pp.10241-10244
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• 2015

Objective: To investigate the efficacy and side effects of Bifidobacterium tetragenous viable bacteria tablets in treating cancer patients with functional constipation during chemotherapy. Methods: A consecutive cohort of 100 cancer patients with functional constipation were divided into two equal groups: patients in the experimental group were given Bifidobacterium tetragenous viable bacteria tablets combined with chemotherapy, while patients in the control group received chemotherapy alone. After 4 weeks, the efficacy and side effects in treating functional constipation were evaluated. Results: Constipation in 48 patients in experimental group was controlled (9 returned to normal), with a total response rate of 96%, and 1 patient reported diarrhea (2%). In contrast only 16 patients in the control group demonstrated improvement and 34 were still constipated after chemotherapy, with a response rate of 32%. The difference in response rate was statistically significant (P<0.05). Conclusion: This study suggested that Bifidobacterium tetragenous viable bacteria tablets are effective and safe in treating cancer patients with functional constipation during chemotherapy.

• 국제물리치료학회지
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• 제1권1호
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• pp.45-51
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• 2010

2 week study was conducted to investigate the effects of Interferential Current(IC) and Kaltenborn-Evjenth Orthopedic Manual Therapy(KEOMT) on functional constipation. Interventions were applied to spinal segments between $T_9-L_2$ which provides innervations to the gastrointestinal tract. Subjects(n=24) were randomly allocated to two treatment groups: the IC group or the KEOMT group. Results for the IC therapy demonstrated significant decrease with the colonic transit time(CTT) as well as scores on the constipation assessment scale(CAS). The frequency of defecations per week had increased significantly(p<0.05). The KEOMT displayed decreased CTT in the left colon region. The scores on the CAS were reduced and frequency of defecations per week had increased significantly (p<0.05). This study not only showed that both modes of therapy improved symptoms of constipation, but also optimized gastrointesti. nal content movement, eventuating in a more normalized CTT. In conclusion, both the IC therapy and the Kaltenborn-Evjenth Orthopedic Manual Therapy have shown to be effective interventions for improving functional constipation.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제11권sup1호
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• pp.44-54
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• 2008

Chronic functional constipation is a common problem in childhood, with soiling a significant issue. It presents a management problem for pediatrician, and parental concern is high. About 5% of pediatric patients is known to have constipation and/or encopresis which is the second most referred disease in pediatric gastroenterology clinic, accounting for up to 25% of all visits. The etiology of constipation was based on initiation factors including vicious cycle concept, genetic factors, psychological factors, dietary influences and histologic abnormalities of colon. Emphasis is placed on the evaluation and management options that are available to the treating pediatrician. Careful history taking is most important to diagnose functional constipation. In addition, diagnostic tests such as plain abdominal radiograph, colonic transit study, anorectal manometry, barium enema were helpful to diagnose the constipation. Childhood constipation can be very delicate to treat. It often requires prolonged supports by physicians and parents, demystification, medical treatment and especially with the child and parent's cooperation.

• 대한한방내과학회지
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• 제45권2호
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• pp.259-269
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• 2024

This case report describe the effectiveness of combination treatment with Korean medicine for chronic functional constipation after lumbar interbody fusion. A female patient was treated for constipation lasting more than 6 months after surgery for lumbar disc herniation. For assessment, we used a NRS and Health-related Quality of Life Instrument with 8-Item Questionnaire (HINT-8). To assess changes in stool appearance, we used the Bristol Stool Scale. After 2 months of treatment, the NRS decreased from 8 to 1, the HINT-8 total score increased from 25 to 13, and the Bristol stool scale also improved. This case suggests that combined treatment with herbal medicine can improve symptoms of chronic constipation.

• Clinical and Experimental Pediatrics
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• 제48권4호
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• pp.355-362
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• 2005

Constipation is very common phenomenon during childhood that accounts approximately 3% of general pediatric outpatient visits and up to 25% of visit to the pediatric gastroenterologist. The diagnosis of functional constipation is based on the historical features and absence of physical abnormalities. Most infants and children with chronic constipation require no diagnostic tests. Constipation and subsequent fecal retention behavior often begins soon after experience of painful defecation. The effective management of childhood chronic constipation consist of education, prolonged support by physicians and parents, medications, and long term follow up.

• 국제물리치료학회지
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• 제9권2호
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• pp.1490-1493
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• 2018

The purpose of this study was to investigate the effects of the Silver Spike Point (SSP) on functional constipation. The subjects were 14 female students who attended a university located in Gyeonggi province and consent to participate in this study. The inclusion criteria were the fulfillment of two or more diagnostic criteria of Rome III or scoring four or more points in Constipation Assessment Scale (CAS). The CAS score was significantly decreased in the experimental group (from $14.29{\pm}1.38$ to $6.86{\pm}2.91$) (p<.05), however, there was no significant change in the control group (from $14.29{\pm}1.49$ to $14.14{\pm}1.21$). The present study suggests that SSP intervention is effective in mitigating constipation.

• 한국산학기술학회논문지
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• 제21권7호
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• pp.487-495
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• 2020

본 연구는 기능성 변비를 가진 여대생을 대상으로 이압요법을 적용하여 변비 완화에 미치는 효과를 확인하기 위해 수행되었으며, 무작위 배정, 단일 맹검, Sham 대조군 비교 설계를 이용한 실험연구이다. 로마 기준 IV의 기능성 변비에 해당하는 여대생 44명이 참여하였으며, 이압요법은 왕불류행 씨앗을 이용한 이압 스티커를 귀에 부착하고 자극하는 방법으로 1주일 단위로 6회, 즉 6주 동안 시행하였다. 처치군(n=23)에게는 변비와 관련된 귀 반응구역(점)인 직장, 대장, 폐, 삼초, 신문에, Sham 대조군(n=21)에게는 변비와 관련이 없는 귀 반응구역(점)인 발목, 이륜, 치아, 턱, 외이에 이압스티커를 부착하였다. 이압스티커 부착 부위를 하루에 3회, 한 개의 귀 반응구역(점)마다 한 번에 30초 동안, 얼얼한 느낌이 들 정도로 손으로 눌러 자극하도록 대상자를 교육하였다. 이압 스티커는 5일 후에 대상자가 스스로 제거하고 귀를 가볍게 마사지하고 2일간 쉬는 시간을 갖도록 하였다. 6주간 이압요법 적용을 통해 이압요법이 기능성 변비가 있는 여대생의 변비의 정도, 대변 형태, 변비 관련 삶의 질 향상에 효과가 있음을 확인하였다.

• 대한한방내과학회지
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• 제33권2호
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• pp.209-221
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• 2012

Objectives : The aim of this study was to investigate the relationship between the autonomic nervous system and the cold-heat pattern in patients with chronic constipation. Methods : Subjects with chronic constipation (n=30) and without chronic constipation (n=20) were recruited, interviewed and measured for heart rate variability (HRV). Chronic constipation was defined as functional constipation and Irritable Bowel Syndrome (IBS) with constipation based on Rome III criteria. We surveyed patients' general characteristics, categorized by cold-heat pattern, and took measurement of HRV for 5 minutes. Analysis was conducted among these three indices. Results : Women accounted for most of the subjects with chronic constipation (96.7%). In groups with or without constipation, the number of cold patterns was more than of heat patterns. The mean heart rate of subjects without chronic constipation was significantly higher than that of subjects with chronic constipation. No other statistical significance was noted among indices of HRV and cold-heat pattern. Conclusions : Through this study, there were few relationships between autonomic nervous system measured by HRV and cold-heat pattern in chronic constipation.